• Utilization Management Nurse

    WellSpan Health (York, PA)
    Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required #LI-REMOTE Apply… more
    WellSpan Health (05/02/25)
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  • Utilization Management Nurse

    CVS Health (Lansing, MI)
    …effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse ( RN ) with current unrestricted US licensure ... Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you...as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
    CVS Health (05/04/25)
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  • Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (03/27/25)
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  • Utilization Management Nurse

    Humana (Tallahassee, FL)
    …and help us put health first** Humana Healthy Horizons in Florida is seeking a Utilization Management Nurse who utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 's work assignments...Active Licensed Practical Nurse , (LPN) or Licensed Registered Nurse ( RN ) in the… more
    Humana (04/25/25)
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  • Utilization Management Nurse

    Adecco US, Inc. (Houston, TX)
    Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Management Nurse in Houston, TX! This role is hybrid with a mix of work from home ... 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Management Nurse :** . Responsible...:** * Bachelors' degree in nursing * Current, unrestricted RN License in Texas . 2 to 5 years… more
    Adecco US, Inc. (05/01/25)
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  • Utilization Management

    Crouse Hospital (Syracuse, NY)
    …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
    Crouse Hospital (03/20/25)
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  • Registered Nurse Coordinator…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
    Trinity Health (04/02/25)
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  • Registered Nurse

    Aspen Medical (Aurora, CO)
    JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
    Aspen Medical (04/23/25)
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  • Utilization Management Nurse

    CVS Health (Dover, DE)
    …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (05/04/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing… more
    CVS Health (05/02/25)
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